
<HTML>

<HEAD>

<TITLE>Sign Up</TITLE>

</HEAD>

<BODY>



<FORM METHOD="POST" ACTION="sign_up.php">

<H3>New User Registration</H3>

<BR>*User Name:

<BR><INPUT TYPE="TEXT" NAME="uname">

<BR>



<BR>*Password:

<BR><INPUT TYPE="PASSWORD" NAME="passwd">

<BR>


<br>*Name ( Company Name if Dealer ):
    
<br><input type="text" name="company">

<br>

<BR>*Email:

<BR><INPUT TYPE="TEXT" NAME="email">

<BR>   
<BR><INPUT TYPE="CHECKBOX" NAME="isDealer"> I am a Car Dealer
<BR>
 
 * All below fields are only required for a dealer
 
<br>Phone Number:
    
<br><input type="text" name="phone">

<br>
    

<br>City:
    
<br><input type="text" name="city">

<br>
    


<br>State:
    
<br><input type="text" name="state">

<br>
    

<br>Street Number:
    
<br><input type="text" name="streetnumber">

<br>
    
    
<br>Street Name:
    
<br><input type="text" name="streetname">

<br>
    

<br>Zip Code:
    
<br><input type="text" name="zip">

<br>
    
    
<br>URL:
    
<br><input type="text" name="url">

<br>
    
<br>


<INPUT TYPE="reset" VALUE="Reset">

<INPUT TYPE="SUBMIT" VALUE="Register">

</FORM>

</BODY>

</HTML>


